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15-04-2024 | Computed Tomography | Original Article

Exploring celiac trunk parameters in median arcuate ligament syndrome: A CT study

Authors: Emre Emekli, Fatma Didem Bayav, Elif Gündoğdu

Published in: Surgical and Radiologic Anatomy

Abstract

Purpose

To assess anatomical variations in the celiac trunk (Ct) in patients with Median Arcuate Ligament Syndrome (MALS) using computed tomography (CT). The primary objectives were to investigate the celiac trunk angle (CtA), origin level, length (CtL), and their relationships with the superior mesenteric artery (SMA) in MALS patients. Additionally, the study intended to evaluate gender differences in these parameters and explore correlations between variables.

Methods

Retrospectively, reports of abdominal CT scans taken between January 2018, and Sepmtember 2021, in the hospital image archive were screened vey two observers independently for MALS diagnosis. Parameters such as CtA, CtL, Ct-SMA distance, SMA angle (SMAA), and median arcuate ligament thickness (MALT) were measured. Statistical analyses were conducted using SPSS software.

Results

Among the 81 patients (25 females, 56 males), significant differences were observed in MALT between genders (p = 0.001). CtA showed a negative correlation with CtL and Ct-SMA (p < 0.001), and a positive correlation was found between CtL and Ct-SMA (p = 0.002). CtL was measured as 25 mm for the all group. Origin levels of Ct and SMA were evaluated in comparison to vertebral levels. Ct-SMA distance was relatively shorter (9.19 mm) compared to the literature. SMAA findings were consistent with normal population values.

Conclusion

This study provided valuable insights into the anatomical parameters of the Ct ans SMA in MALS patients. Despite some differences compared to normal population parameters, no evidence supported the hypothesis of a superiorly placed Ct contributing to MALS.

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Title: Exploring celiac trunk parameters in median arcuate ligament syndrome: A CT study
Authors: Emre Emekli
Fatma Didem Bayav
Elif Gündoğdu
Publication date: 15-04-2024
Publisher: Springer Paris
Keywords: Computed Tomography
Computed Tomography
Published in: Surgical and Radiologic Anatomy
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-024-03352-7

At a glance: The STEP trials

Springer Medicine

Exploring celiac trunk parameters in median arcuate ligament syndrome: A CT study

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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